Prospective-first workflow
Retrospective findings feed pre-visit prep, CDI review, or next-visit recapture instead of risky late provider chase.
Workflow control for RAF, CDI, quality, and coding
Catch documentation gaps before they become rework.
SynchroLink AI helps risk-bearing teams prepare the visit, guide providers at the right moment, verify documentation before coding, and resolve support gaps before submission.
Pre-Visit Identification
Prior year claims, current chart evidence, meds, labs, and outside records help surface likely active conditions before the visit.
Visit-Time Documentation Guidance
Providers see why a condition matters, what supports it, and what may still need to be documented while the encounter is still fresh.
CDI and Coder-Safe Release
Recent post-visit gaps route through CDI review, and coder-ready status is based on verified support.
RADV Readiness
Built for encounter-driven RAF workflows across ACOs, MSOs, PACE programs, specialty organizations, and other risk-bearing provider teams.
Revenue Impact Visible
Leadership sees recapture progress, support rates, and modeled financial impact while unresolved opportunities are re-armed for future visits.
Why serious teams look closer
Not AI coding. Workflow control for defensible risk adjustment.
SynchroLink AI is built for organizations that need less rework, fewer missed chronic opportunities, lower provider burden, and cleaner audit posture across any EHR environment.
Built around provider adoption
Patient briefs, refill signals, quality actions, and documentation prompts are organized around what matters in the visit.
Outside evidence included
Specialist PDFs, labs, medications, notes, and prior-year claims become source-linked context for risk, quality, and coding review.
Governed release
Unsupported diagnoses stay out of coder-safe release until evidence and documentation are verified.
EHR integrations · RAF trusted by leading platforms
Clinicians stay in their EHR. We connect securely across multi-site health systems.
Why healthcare organizations partner with SynchroLink AI
From Evidence → Payment Integrity
Find the right conditions before the visit, guide documentation while context is fresh, and give coders cleaner evidence-backed charts.
Close the gap between documentation and revenue
SynchroLink AI connects prior-year continuity, current-year evidence, and visit context so supported conditions are addressed early and unresolved recapture opportunities can be carried into the next legitimate visit.
Built for revenue integrityLive in 14 days
Built for coders; clinician-friendly: nothing new to learn
Providers see concise, visit-relevant prompts in their EHR. Coders and CDI teams review exact evidence and MEAT status without chasing incomplete charts.
Built for revenue integrityLive in 14 days
CMS/RADV-ready by design
Encounter support, continuity, and provenance are checked before anything is released downstream.
Built for revenue integrityLive in 14 days
Audit readiness that scales
Every approved diagnosis carries linked evidence and source context for internal review, plan review, and RADV response.
Built for revenue integrityLive in 14 days
Quick to start, seamless to scale
Start with files or FHIR APIs, include outside specialist PDFs when needed, and expand across practices, PACE programs, specialty sites, and multi-EHR networks without rebuilding workflow.
Built for revenue integrityLive in 14 days
Where SynchroLink AI fits
We don’t replace your systems — we make them smarter, faster, and more financially secure.
EHR / Clinical Systems
Epic • Cerner • Meditech • Athena
Clinicians document as usual.
No workflow change.
SynchroLink AI
Revenue Integrity Infrastructure
Reviews notes, labs, imaging, and meds; enforces MEAT; builds line-level Audit Packs; applies CMS/RADV checks.
Validates documentation, strengthens audit readiness, protects RAF.
RCM / Billing Platforms
Waystar • FinThrive • Experian
Submit clean, evidence-backed claims.
Faster reimbursement, fewer audits, defensible revenue.
We help health systems protect earned revenue by validating every diagnosis against complete chart evidence — before it’s billed.
Features that move RAF and reduce rework
Prospective-first documentation control, with retrospective review feeding safer pre-visit action.
Pre-visit identification and filtering
- Prior-year claims seed annual redocumentation, continuity, and recapture candidates.
- Current-year chart evidence, meds, labs, problems, and outside specialist records narrow the list.
- Only likely active, visit-relevant conditions move into prep.
Why it matters: Turn last year's claims into this year's focused pre-visit documentation work.
Provider and CDI correction before release
- Shows why a condition matters, what supports it, and what documentation is still missing.
- Keeps provider review concise and tied to the encounter in front of them.
- Routes recent post-visit gaps through CDI review before any provider follow-up.
Why it matters: Improve chart quality upstream without pushing risky late addenda.
Strict coder-safe release
- Charts stay out of coder-ready release until supporting documentation is sufficient and verified.
- Incomplete, contradictory, or unsupported items route to follow-up instead of coding.
- Coders see only encounter-specific diagnoses the organization is prepared to defend.
Why it matters: Protect revenue and compliance at the same time.
Longitudinal recapture with visit linkage
- Prior-year conditions stay tracked until a matching upcoming visit exists.
- When a visit is in window, the item is armed for pre-visit review.
- Unresolved recapture opportunities stay in memory instead of becoming provider nags months later.
Why it matters: Turn retrospective review into safer prospective documentation.
PACE and specialty workflows
2026 ready- Supports encounter-driven ICD-10/HCC review for PACE programs, nephrology, dialysis, oncology, pulmonary, and other specialty teams.
- Handles chronic-condition continuity, outside records, and complex comorbidity review.
- Built for 2026 RAF model changes and higher documentation specificity without exposing clinicians to more noise.
Why it matters: Serve high-acuity programs where missed or unsupported conditions carry outsized financial impact.
CMS/RADV readiness and recapture
- Continuity checks across the calendar year prevent missed recapture.
- Signature and face-to-face verification before a diagnosis can move forward.
- Audit failure reasons show exactly what CMS would request.
Why it matters: Reduce audit exposure and keep revenue defensible.
Risk gap detection at the safe moment
- Finds likely missed or underspecified HCCs based on documentation and history.
- Connects every suggestion to supporting evidence in the chart.
- Recent issues route to CDI; older post-visit findings wait for a future visit before provider action.
Why it matters: Close risk gaps confidently without triggering compliance concerns.
CMS-aligned rules & modifier enforcement
- Flags modifier, POS, and timing conflicts before submission.
- Includes CMS-aligned logic with payer-specific overlays.
- Prevents compliance drift by mirroring real adjudication rules.
Why it matters: Avoid audit exposure and revenue volatility before claims go out.
Audit packs and clear accountability
- Line-level evidence, timestamps, source records, and authorship stay attached.
- Outside specialist PDFs and uploaded records can support review without becoming black-box coding.
- Leaders see what is in prep, what is blocked, and why.
Why it matters: Make follow-up faster for providers, coders, compliance, and auditors.
Rapid deployment, measurable in 30 days
30-day pilot- Works alongside your current coding and billing stack — no rebuild required.
- Integrates with leading EHRs.
- Delivers before/after metrics in the first month via pilot dashboard.
Why it matters: Fast proof of value, zero disruption, scalable afterward.
Whole-visit support
A complete pre-visit control surface
Quality gaps, medication adherence signals, and a patient brief bring risk, care gaps, and visit context into one calm in-EHR workflow.
Quality and HEDIS gaps
QualityPrepare risk, quality, and care-gap work together so teams can act before the patient leaves.
Medication adherence and refill signals
AdherenceSmall, useful prompts create provider trust before any documentation request appears.
Patient brief
Visit summaryThe best adoption path is practical clinical usefulness before revenue integrity pressure.
What makes us unique
We close the last mile between clinical truth, provider documentation, and coder-ready release without disrupting clinicians or adding tools to manage.
Validate before submission
Every diagnosis is checked against chart evidence (notes, labs, imaging, meds) so claims leave clean and defensible.
Visit-relevant, not noisy
We filter likely active conditions using prior history and current evidence so providers only see what is worth addressing now.
Provider guidance inside the workflow
If documentation needs support, we show what may be missing during the visit or route recent post-visit issues through CDI review before provider follow-up.
Retrospective signals feed prospective recapture
Older post-visit findings do not become risky late addenda. They stay in recapture memory until a legitimate future visit can support clean documentation.
Audit-ready by design
Each released diagnosis carries linked evidence and provenance, so CMS/RADV reviews are fast, factual, and fully documented.
Works with your current environment
Start with the data you already have, bring in outside specialist records when needed, and expand across sites or EHRs without forcing clinicians into a new daily workflow.
Bottom line: find clinically supported conditions early, help providers document them with less friction, and give coders cleaner, evidence-backed charts.
Audit Pack: proof, not paperwork
Every released diagnosis ships with linked chart evidence, documentation sufficiency checks, and provenance so CMS/RADV reviews are fast and defensible.
Evidence tied to every diagnosis
We ingest encounter notes, labs, imaging, vitals, meds, and outside specialist documents, then link the exact artifacts that support each ICD-10/HCC line.
Documentation sufficiency, verified
We show whether the encounter actually supports the diagnosis and what is still missing before release. If support is absent, the chart is held for clinical confirmation.
Provenance for auditors
Each artifact carries source, author, timestamps, and FHIR identifiers so you can show who ordered or documented what — no manual chasing.
Exportable, per-claim packet
One click generates an audit-ready packet for CMS/RADV requests and plan reviews — fast to assemble, easy to defend, and snapshot-stored at submission.
Bottom line: proof before release means faster reviews, cleaner coder workflows, and better protection from extrapolation risk.
How we help
We control the workflow before documentation becomes revenue risk
SynchroLink AI sits between your EHR, outside records, CDI process, and downstream coding workflow to validate documentation before it becomes financial risk. Teams get cleaner pre-visit prep, safer recent-issue review, cleaner release decisions, and fewer provider interruptions.
Revenue & finance leaders
Revenue impactRAF stability30-day KPI pack
- Prospective controls reduce RAF volatility before year-end sweeps and risky late addenda.
- CMS-aligned guardrails reduce audit exposure before claims leave.
- Leadership sees recapture progress, readiness status, and support rates by contract and cohort.
- Pilot reporting shows modeled revenue impact, workflow throughput, and documentation risk reduction in under a month.
Coding & clinical documentation
No new loginsEvidence attachedCalm queue
- Pre-visit candidates are built from prior year claims, current-year chart evidence, meds, labs, problem lists, and outside records.
- Recent post-visit gaps land in CDI review first; older unresolved opportunities are carried into the next legitimate visit.
- Providers get concise guidance while context is fresh; coders see cleaner evidence instead of chasing incomplete charts.
- Ownership, follow-up states, and clear MEAT evidence keep work moving without noise.
Compliance & risk teams
Support requiredAudit trailEthical guardrails
- Unsupported diagnoses stay out of coder-ready release without manual policing.
- Charts needing more documentation or true clinical confirmation are clearly separated.
- Line-level Audit Packs store timestamps, authorship, and provenance for audit readiness and internal review.
- Ethical guardrails lift accuracy without increasing CMS/RADV risk.
Who we help
Built for risk-bearing teams and high-acuity provider organizations
From shared-savings ACOs to PACE programs, specialty organizations, provider groups, and health plans, we meet you where the work actually happens.
Risk-bearing networks
Stabilize RAF before it turns into year-end cleanup.
Shared savings leak when chronic conditions are clinically true but not clearly supported in the current year. SynchroLink AI helps you identify likely active conditions before the visit, guide documentation during the workflow, and give coders cleaner evidence-backed charts.
Your coders and clinicians stay in sync, recapture stays tied to real encounters, and leadership sees a calmer path to defensible RAF performance.
- Prior-year continuity becomes operational pre-visit prep instead of a broad retrospective sweep.
- Likely active conditions move forward with source evidence, not guesswork.
- Network-wide workflows stay consistent even when infrastructure varies by site.
The workflow at a glance
A practical control path from pre-visit prep to provider action, CDI review, coder-safe release, and audit-ready reporting.
- Step 1Prepare the visit with the right signals
- Prior history, current chart evidence, medications, labs, and outside records are brought into one review path.
- The workflow focuses on conditions and care actions that are relevant to the upcoming encounter.
- Step 2Tie work to a real encounter
- Opportunities are organized around the visit where they can actually be addressed.
- Items without a clean visit path stay monitored instead of creating unnecessary provider or coder work.
- Step 3Route exceptions through the right team
- Providers see concise, source-linked guidance when action belongs in the encounter.
- Recent documentation issues can go through CDI review before provider follow-up.
- Older unresolved chronic opportunities wait for a clean future visit rather than becoming risky late addenda.
- Step 4Verify before coder-safe release
- Completed encounters are checked for documentation support and source context.
- Incomplete, contradictory, or unsupported items stay visible for follow-up.
- Coders get the evidence they need without digging across the chart.
- Step 5Report what moved and what still needs attention
- Defensible diagnoses move forward with linked evidence and provenance.
- Audit packets support internal review, plan review, and RADV response.
- Leadership sees recapture progress, documentation readiness, quality activity, and modeled impact.
Clinically true → documented → defensible
Success metrics that matter
A useful pilot should show cleaner documentation, faster review, lower audit exposure, and clearer RAF opportunity in weeks.
- Documentation readiness
- Coder-safe release rate
- Recapture completion
- RADV exposure reduction
- Provider response time
- Modeled RAF impact
Evidence Review → Verification → Release
Help CDI and coding teams move faster. Evidence is front and center, and charts only release when support is present.
Speed
Fast evidence review
Diagnosis / Evidence
HCC (v24→v28)
Payer
v28 Impact
Action
Parkinsonism with MEAT spans shown
HCC 35 → HCC 22
Humana
RAF +0.12
MDD in remission (evidence validated)
HCC 59 → HCC 57
UHC
RAF +0.08
HF w/ acuity specified; Z79.4 present
HCC 84 → HCC 83
Aetna
Denials ↓
Verified
Compliance first: Charts move forward only after MEAT is confirmed. We store the exact evidence window used.
RADV‑ready before submission
CMS audit criteria are applied upstream so every draft is defensible before it leaves the queue.
Missing MEAT support
We surface the exact element needed before drafting.
Outside payment year
We highlight recapture gaps and continuity issues early.
Unsigned or non face to face
We require provider signature and face‑to‑face evidence.
Every line answers: “If CMS reviewed this tomorrow, would it pass?”
Pilot outcomes
See measurable progress in weeks
Operational signals that show whether documentation quality, review speed, and audit posture are moving.
Illustrative ranges. Final results depend on cohort size, payer mix, and starting baseline.
Pilot readout
Baseline → intervention → measured deltas (by cohort)
Modeled impact, clearly labeled
Speed
68%
review time down
Defensibility
92%
actions with source support
Readiness
88%
release-ready posture up
Measurement notes: review time is measured against baseline workflow; evidence-backed rate reflects source support visible at decision time; audit-risk deltas reflect unsupported, incomplete, or contradictory items reduced before release.
Review time
Process↓ 25–45%
less evidence hunting and re-review
Evidence-backed actions
Process95–98%
source support visible at decision time
Audit-risk backlog
Outcome↓ 20–35%
unsupported, contradictory, or incomplete items
Recapture progress
Outcome+0.03–0.10
validated RAF potential, cohort-dependent
Modeled $ impact
Outcome$50k–$250k
pilot cohort, RAF-to-dollar modeled
Proof from the field
What teams say after the pilot
Less rework. Fewer surprises. More confidence in what moves forward.
Quotes are from pilots. Titles and org descriptors are generalized for privacy.
Why SynchroLink AI is different from legacy analytics
Built to move work, not just visualize risk.
SynchroLink AI
Legacy analytics platforms
Visit-ready opportunities with evidence, timing, and next action already organized.Actionable
After-the-fact dashboards that still require teams to chase charts manually.
Provider, CDI, coder, quality, and analytics workflows connected in one control path.Actionable
Separate reports for risk, quality, coding, and compliance with no shared operating lane.
Coder-safe release based on support, provenance, and documentation readiness.Actionable
Static risk scores and opportunity lists with limited release control.
Outside specialist PDFs and fragmented evidence become usable workflow context.Actionable
Unstructured evidence remains buried until review, audit, or reconciliation pressure hits.
Leadership sees RAF drivers, RADV exposure, provider readiness, and quality activity in time to act.Actionable
Analytics explain what happened after the window to fix it has already narrowed.
The difference is control: the right action, at the right time, with evidence attached.
Ethical guardrails
Get the right code - ethically
We make tricky choices simple and safe. Clear side-by-side guidance and required proof keep coding accurate - never aggressive.
Parkinsonism vs Parkinson’s
G21.4 vs G20
We show CMS/RADV implications, require supporting evidence, and never auto-flip.
Guardrail: unsupported or ambiguous diagnoses stay in review until the chart is defensible.
MDD remission vs active
F33.x nuances
Side-by-side guidance and source-linked checks help teams document specificity.
Guardrail: unsupported or ambiguous diagnoses stay in review until the chart is defensible.
HF acuity + insulin use
Z79.4
Prevents audit risk by ensuring required details are present.
Guardrail: unsupported or ambiguous diagnoses stay in review until the chart is defensible.
Security & compliance
BAA / HIPAA
We execute BAAs and operate least‑privilege, tenant‑isolated environments.
PHI handling
SFTP or TLS upload; encryption in transit and at rest; audit logging of all access.
CPT® licensing
Support for client‑held or vendor‑held AMA CPT licenses when CPT is displayed or stored.
Data minimization
FHIR-first, data minimization. We only pull the encounter artifacts needed to validate a line (notes, labs, meds, imaging) plus claims context when provided. No long-lived copies or shadow data stores. Evidence is retained only as long as your audit/records policy and BAA require.
Built for defensibility from the start
Help compliance, CDI, and coding teams know what is supported before the chart moves downstream.
Evidence-first controls
Unsupported diagnoses stay visible for follow-up instead of moving quietly into coder-ready release.
Audit packet by diagnosis
Released items carry the source evidence, timestamps, and context needed for review.
RADV readiness checks
Current-year support, signatures, continuity, and contradictions are checked before release.
Note: We support client policies for payer/CMS audit response workflows.
Start with a focused pilot
Use your existing data to show cleaner evidence review, stronger documentation readiness, recapture opportunity, quality activity, and modeled RAF impact.
Available through
Procurement-ready with Carahsoft
Skip the sourcing cycles. SynchroLink AI is ready through Carahsoft for public sector, provider groups, and complex delivery networks.
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